title: Abdominal aortic rupture from an impaling osteophyte following blunt trauma.
abstract: Blunt injury of the abdominal aorta is highly fatal. We present an unusual case of an osteophyte impaling the abdominal aorta treated by endovascular repair. A 77-year-old man sustained a thoracolumbar fracture-dislocation with posterior aortic rupture between his celiac and superior mesenteric artery origins. His aortic injury was treated with a stent graft, excluding the celiac origin. He was dismissed on postoperative day 6. At 6 months, he had returned to most preinjury activities, and at 2-year follow-up, he continues to have good functional outcome. Endovascular repair may be successfully employed in select aortic injuries in hemodynamically stable patients.
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kan.
authors.forename: Seth A
authors.initials: SA
authors.lastname: Vernon
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kan.
authors.forename: William R C
authors.initials: WR
authors.lastname: Murphy
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kan; Department of Trauma Services, Via Christi Hospital, Saint Francis Campus, Wichita, Kan.
authors.forename: Todd W
authors.initials: TW
authors.lastname: Murphy
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine-Wichita, Wichita, Kan; Department of Trauma Services, Via Christi Hospital, Saint Francis Campus, Wichita, Kan. Electronic address: James.Haan.Research@viachristi.org.
authors.forename: James M
authors.initials: JM
authors.lastname: Haan
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D054850:Osteophyte / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology*